X12 Ingest & Denial Analytics

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Members›policy B03M000390›KEVIN TANAKA

KEVIN TANAKA

Dependent on policy B03M000390

Claims
2
Attributed to this person
Charged
1,131.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
0.00
Reported on the 835

Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.

Who this is

FieldValue
NameKEVIN TANAKA
Role on the policyDependent · relationship 19
PolicyB03M000390
Date of birth31 Oct 1984
PlanGOLD PPO
Covered from22 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000158415 Jul 2026255.00MERIDIAN HEALTH PLANNot denied—
CLM00015839 Mar 2025876.00MERIDIAN HEALTH PLANNot denied—